Organization
TRI PARISH PET SCANS
Active
Organization
TRI PARISH PET SCANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES K CHAMPAGNE (PRACTICE ADMINISTRATOR)
(985) 857-8093
Entity
Organization
Contact information
Practice address
8120 MAIN ST, HOUMA, LA 70360-3403
(985) 857-8093
(225) 215-1658
Mailing address
8120 MAIN ST, HOUMA, LA 70360-3403
(985) 857-8093
(225) 215-1658
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0904X
Nuclear Radiology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00300372
RAILROAD MEDICARE
LA
Enumeration date
04/02/2007
Last updated
09/11/2025
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